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General NPI Number Information
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NPI Number | 1144209578
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Entity Type | Individual
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Provider Name | JOSEPH GRANVILLE GREGORY M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/13/2006
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 1736 OXMOOR RD SUITE 201
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City | BIRMINGHAM
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State | AL
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Zip | 35209-4058
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Country | US
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Telephone | 205-913-6611
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Fax | 205-623-5551
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Provider Business Mailing Address
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Address Line | PO BOX 660816
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City | BIRMINGHAM
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State | AL
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Zip | 35266-0816
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Country | US
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Telephone | 205-913-6611
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Fax | 205-623-5551
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 00024000
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License Number State | AL
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